NPI | 1740708833 |
---|---|
Former Name | JOANA VALERIE GARONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 84745) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2021-03-12 |